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Individual

DR. ROBERT KENNETH SPRINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2120 HIGHWAY 14 E, ROCHESTER, MN 55904-5101
(507) 258-7934
Mailing address
601 E PICCADILLY DR APT 256, FLAGSTAFF, AZ 86001-5974

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010356
AZ
1223G0001X
General Practice Dentistry
D14365
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D010356
DENTAL LICENSE
AZ
01
D14365
DENTAL LICENSE
MN
Enumeration date
06/20/2019
Last updated
03/23/2023
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